MAYO CLINIC HEALTH SYSTEM - NEW PRAGUE: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: MAYO CLINIC HEALTH SYSTEM - NEW PRAGUE (EIN 41-0723639)
Tax period: 2012-01-01 to 2012-12-31
Filed: 2013-11-07
IRS object ID: 201343119349300449
Schema version: 2012v2.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-11-07T12:51:35-06:00	Timestamp
Tax Period End Date	2012-12-31	TaxPeriodEndDate
Return Type	990	ReturnType
Tax Period Begin Date	2012-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	410723639	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	MAYO CLINIC HEALTH SYSTEM - NEW PRAGUE	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	MAYO	NameControl
Phone	5075381297	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	301 SECOND STREET NORTHEAST	AddressLine1
City	NEW PRAGUE	City
State	MN	State
ZIP Code	56071	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	JAMES J TARASOVITCH	Name
Title	CFO	Title
Phone	5073856449	Phone
Date Signed	2013-11-07	DateSigned

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2016-02-25 16:41:14Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	GREGORY R KUTCHER MD	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	301 SECOND STREET NORTHEAST	AddressLine1
City	NEW PRAGUE	City
State	MN	State
ZIP Code	56071	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	36953977	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.MAYOCLINICHEALTHSYSTEM.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1951	YearFormation
State Legal Domicile	MN	StateLegalDomicile
Activity Or Mission Description	HOSPITAL AND CLINIC	ActivityOrMissionDescription
Nbr Voting Members Governing Body	11	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	3	NbrIndependentVotingMembers
Total Nbr Employees	375	TotalNbrEmployees
Total Nbr Volunteers	102	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	3090	ContributionsGrantsPriorYear
Contributions Grants Current Year	147094	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	19137965	ProgramServiceRevenuePriorYear
Program Service Revenue CY	36320503	ProgramServiceRevenueCY
Investment Income Prior Year	-45173	InvestmentIncomePriorYear
Investment Income Current Year	12953	InvestmentIncomeCurrentYear
Other Revenue Prior Year	174171	OtherRevenuePriorYear
Other Revenue Current Year	445860	OtherRevenueCurrentYear
Total Revenue Prior Year	19270053	TotalRevenuePriorYear
Total Revenue Current Year	36926410	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	6250	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	4597	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	9455209	SalariesEtcPriorYear
Salaries Etc Current Year	18233605	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	9601748	OtherExpensePriorYear
Other Expenses Current Year	18775140	OtherExpensesCurrentYear
Total Expenses Prior Year	19063207	TotalExpensesPriorYear
Total Expenses Current Year	37013342	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	206846	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-86932	RevenuesLessExpensesCY
Total Assets BOY	23595690	TotalAssetsBOY
Total Assets EOY	22123496	TotalAssetsEOY
Total Liabilities BOY	7213724	TotalLiabilitiesBOY
Total Liabilities EOY	5560558	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	16381966	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	16562938	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	TO INSPIRE HOPE AND CONTRIBUTE TO HEALTH AND WELL-BEING BY PROVIDING THE BEST CARE TO EVERY PATIENT THROUGH INTEGRATED CLINICAL PRACTICE, EDUCATION, AND RESEARCH.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	32907459	Expense
Revenue	36513643	Revenue
Description	PATIENT CARE (SCHEDULE O)PATIENT CARE: MAYO CLINIC HEALTH SYSTEM - NEW PRAGUE. (MCHS-NEW PRAGUE) IS A MEMBER OF THE MAYO CLINIC HEALTH SYSTEM. MAYO CLINIC HEALTH SYSTEM IS A FAMILY OF CLINICS, HOSPITALS AND HEALTH CARE FACILITIES SERVING COMMUNITIES IN MINNESOTA, IOWA AND WISCONSIN. AS PART OF MAYO CLINIC, MAYO CLINIC HEALTH SYSTEM OFFERS OUTSTANDING CARE CLOSE TO HOME. PHYSICIANS AND STAFF IN MAYO CLINIC HEALTH SYSTEM HAVE READY ACCESS TO THE KNOWLEDGE, RESOURCES, AND EXPERTISE OF MAYO CLINIC, YET CAN MEET PATIENTS HEALTH CARE NEEDS LOCALLY. MAYO CLINIC HEALTH SYSTEM IS PART OF THE COMMUNITY, FOCUSED ON IMPROVING THE HEALTH OF THE COMMUNITIES IN WHICH WE LIVE AND WORK. MAYO CLINIC HEALTH SYSTEM TEAMS WITH MAYO CLINIC TO DELIVER UNPARALLELED HEALTH CARE TO COMMUNITIES THROUGH AN INTEGRATED NETWORK OF CLINICS AND HOSPITALS.IN 2012, MAYO CLINIC HEALTH SYSTEM SITES EMPLOYED APPROXIMATELY 1,000 PHYSICIANS AND 14,000 ALLIED HEALTH STAFF. IN ADDITION, MAYO CLINIC PHYSICIANS FROM MULTIPLE SPECIALTIES REGULARLY SEE PATIENTS AT THE MAYO CLINIC HEALTH SYSTEM FACILITIES. BESIDES HAVING HEALTH CARE FACILITIES IN 72 COMMUNITIES, THE SYSTEM INCLUDES 18 OWNED HOSPITALS, SIX OWNED NURSING HOMES, PHYSICIAN SERVICE AGREEMENTS WITH TWO ADDITIONAL HOSPITALS, AND CONTRACT MANAGEMENT AGREEMENTS WITH AN ADDITIONAL HOSPITAL AND NURSING HOME. SINCE ITS INCEPTION IN 1992, MAYO CLINIC HEALTH SYSTEM HAS GROWN FROM A NEW IDEA TO ONE OF THE MOST SUCCESSFUL REGIONAL HEALTH CARE SYSTEMS IN AMERICA. MAYO CLINIC HEALTH SYSTEM COMPLETES MORE THAN TWO-MILLION PATIENT VISITS ANNUALLY. IT ALSO SERVES AS A NATIONAL LEADER IN QUALITY AND SAFETY EFFORTS BEING RECOGNIZED SIX TIMES BY THE AMERICAN MEDICAL GROUP ASSOCIATIONS ACCLAIM AWARD PROGRAM (2005 ACCLAIM AWARD RECIPIENT AND FIVE-TIME ACCLAIM AWARD HONOREE). THE ACCLAIM AWARDS HONOR PHYSICIAN-LED ORGANIZATIONS DELIVERING CARE ALIGNED WITH THE IDEAL DELIVERY MODEL WHERE PATIENTS EXPERIENCE SAFE, RELIABLE, RESPONSIVE, READILY AVAILABLE AND INTEGRATED CARE. IN ADDITION, THE MINNESOTA COUNCIL FOR QUALITY HAS RECOGNIZED MAYO CLINIC HEALTH SYSTEM THREE TIMES FOR ITS PERFORMANCE EXCELLENCE EFFORTS. INDIVIDUAL MAYO CLINIC HEALTH SYSTEM LOCATIONS HAVE ALSO BEEN HONORED FOR THEIR COMMITMENT TO QUALITY, SAFETY, SERVICE, PERFORMANCE AND THEIR COMMUNITIES.PEOPLE IN MINNESOTA, IOWA AND WISCONSIN CAN HAVE PEACE OF MIND KNOWING THAT MAYO CLINIC HEALTH SYSTEM AND MAYO CLINIC PARTNER TO ENSURE HEALTHIER LIVES IN THE REGION.AS OUR MISSION STATES, OUR ORGANIZATION AIMS TO INSPIRE HOPE AND CONTRIBUTE TO HEALTH AND WELL-BEING BY PROVIDING THE BEST CARE TO EVERY PATIENT THROUGH INTEGRATED CLINICAL PRACTICE, EDUCATION, AND RESEARCH. OUR VISION IS TO ACHIEVE THE HIGHEST STANDARDS FOR MEDICAL CARE AND HEALTH IMPROVEMENT IN THE COMMUNITIES IN WHICH WE LIVE AND WORK. OUR FIRST PRIORITY IS TO MEET PATIENT NEEDS GUIDED BY THE CORE VALUES OF INTEGRITY, CONTINUOUS IMPROVEMENT, SERVICE, TEAMWORK, INNOVATION, BALANCE AND FINANCIAL INTEGRITY. AS A MEMBER OF MAYO CLINIC HEALTH SYSTEM, MCHS - NEW PRAGUE PROVIDES QUALITY HEALTHCARE CLOSE TO HOME WITH DIRECT ACCESS TO HIGHLY SPECIALIZED CARE IF THE NEED ARISES.INPATIENT SERVICES: MCHS - NEW PRAGUE IS A 25 BED CRITICAL ACCESS HOSPITAL LOCATED IN NEW PRAGUE, MINNESOTA. MCHS - NEW PRAGUE HAD 872 ADMISSIONS AND HAD 157 BIRTHS IN 2012.OUTPATIENT CLINIC SERVICES: A TOTAL OF 33,000 OUTPATIENT REGISTRATIONS WERE RECORDED, INCLUDING LAB, RADIOLOGY, SPECIALTY CLINIC VISITS, THERAPY, SLEEP STUDIES, AND AMBULATORY SURGERIES.MEDICAL STAFF: MCHS - NEW PRAGUE HAS ACTIVE MEDICAL STAFF WHICH CONSISTS OF FAMILY PRACTICE, WOMEN'S HEALTH, INTERNAL MEDICINE, PEDIATRIC PHYSICIANS, ER PHYSICIANS AND A GENERAL SURGEON. CONSULTING SPECIALISTS INCLUDE ALLERGY, CARDIOLOGY, ORAL/MAXILLOFACIAL SURGERY, ENT GASTROENTEROLOGY, INFECTIOUS DISEASES, NEPHROLOGY, NEUROLOGY, ONCOLOGY, ORTHOPEDICS, OB/GYN, OPHTHALMOLOGY, PULMONOLOGY, RADIOLOGY/TELE-RADIOLOGY, GASTROENTEROLOGY, RHEUMATOLOGY, UROLOGY, DENTISTRY, AND PODIATRY.EMERGENCY ROOM: IN A PARTNERSHIP WITH NORTH MEMORIAL, FULL-TIME EMERGENCY DEPARTMENT PHYSICIANS PROVIDED CARE TO 6,495 PATIENTS.UNCOMPENSATED CARE: MCHS - NEW PRAGUE PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS. SERVICES ARE PROVIDED TO BOTH MEDICARE AND MEDICAID PATIENTS AT SUBSTANTIAL DISCOUNTS FROM STANDARD FEES. MCHS - NEW PRAGUE IS DESIGNATED AS A CRITICAL ACCESS HOSPITAL AND IS REIMBURSED BASED ON ITS COST OF PROVIDING SERVICES FOR HOSPITAL MEDICARE PATIENTS.CHARITY CARE IS ALSO PROVIDED FOR PATIENTS THAT ARE FINANCIALLY UNABLE TO PAY FOR SERVICES PROVIDED. THE COST OF CHARITY CARE PROVIDED IN 2012 WAS APPROXIMATELY $149,500. THE COST OF UNCOMPENSATED CARE IN 2012 PROVIDED TO OTHER GOVERNMENTAL AND LOW INCOME PATIENTS THROUGH MEDICAID WAS APPROXIMATELY $882,600. THIS AMOUNT INCLUDES THE MEDICAID SURCHARGE AND PAYMENT TO MINNESOTACARE (A PROGRAM THAT PROVIDES HEALTH CARE FOR LOW INCOME POPULATIONS). THE AMOUNT OF THE MEDICAID SURCHARGE AND MINNESOTACARE TAX PAID IN 2012 WAS $797,833.THE COST OF UNCOMPENSATED CARE PROVIDED THROUGH MEDICARE WAS APPROXIMATELY $1,128,500.MCHS - NEW PRAGUE ALSO PROVIDES DISCOUNTS TO UNINSURED PATIENTS. THE TOTAL DISCOUNTS GIVEN IN 2012 WERE $131,900.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	183204	Expense
Revenue	153105	Revenue
Description	QUEEN'S COURT: QUEEN'S COURT IS A SENIOR HOUSING FACILITY LOCATED ADJACENT TO THE HOSPITAL IN NEW PRAGUE. CURRENTLY, THERE ARE 16 UNITS AVAILABLE FOR RENTAL AND A SECTION OF THE BUILDING IS USED FOR MAYO CLINIC HEALTH SYSTEM ADMINISTRATIVE SERVICES.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	4597	Expense
Grants	4597	Grants
Revenue	3550	Revenue
Description	OTHER (SEE SCHEDULE O):COMMUNITY EDUCATION: MCHS - NEW PRAGUE COMMUNITY EDUCATION PROVIDED CLASSES AND SUPPORT GROUPS ON THE TOPICS OF CHILDBIRTH, BREASTFEEDING, SIBLING ACCEPTANCE OF A NEWBORN, CPR, FIRST AID, SENIOR HEALTH, DIABETES, PREVENTING FALLS, FLU, COLON CANCER, STRESS MANAGEMENT, WOMEN'S HEART HEALTH, WEIGHT LOSS, PRE-DIABETES, OBESITY, NUTRITION, HIP AND KNEE REPLACEMENT OPTIONS, NURSING CARE IN CRISIS SITUATIONS, GRIEF SUPPORT, CANCER SUPPORT, AND HOSPITAL SERVICES. MCHS - NEW PRAGUE ALSO PROVIDED TOURS, HOSTED A JOB SHADOW EXPERIENCE FOR STUDENTS AND INTERNSHIPS. COMMUNITY EDUCATION PROVIDES MONTHLY PHYSICIAN EDUCATION AS WELL AS CLINICAL IN-SERVICES FOR HOSPITAL AND CLINIC STAFF AND OTHER COMMUNITY HEALTHCARE PROVIDERS.EMT EDUCATION: IN PARTNERSHIP WITH NORTH MEMORIAL, AREA VOLUNTEER POLICE, FIRE AND AMBULANCE EMT'S ARE TRAINED ANNUALLY AT MCHS - NEW PRAGUE. THESE VOLUNTEERS PROVIDE EMERGENCY TRANSPORT SERVICES IN THE COMMUNITIES OF NEW PRAGUE, LECENTER, LESUEUR, MONTGOMERY, LONSDALE, NEW MARKET, ELKO, SHAKOPEE AND BELLE PLAINE."THE FITNESS CENTER" COMBINES OUTPATIENT REHABILITATION SERVICES WITH A COMMUNITY FITNESS CENTER. THE FITNESS CENTER HAD AN AVERAGE OF APPROXIMATLEY 1,200 FITNESS MEMBERSHIPS. A WEIGHT LOSS PROGRAM WAS SPONSORED BY THE CENTER. THE OUTPATIENT REHABILITATION DEPARTMENT IS ABLE TO PROVIDE MULTIDISCIPLINARY CARE INVOLVING PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPY. ATHLETIC TRAINERS PROVIDE SERVICES FOR STUDENT ATHLETES WITHIN AREA SCHOOL DISTRICTS. THE FITNESS CENTER PARTICIPATES IN SILVER SNEAKERS', THE NATION'S LEADING EXERCISE PROGRAM FOR MEDICARE ELIGIBLE BENEFICIARIES. STRENGTH, RANGE OF MOTION IN ADDITION TO YOGA CLASSES ARE OFFERED SEVEN DAYS A WEEK. BECAUSE ONE-THIRD OF U.S. CHILDREN ARE OVERWEIGHT OR AT RISK OF BECOMING OVERWEIGHT, THE FITNESS CENTER SPONSORS THE FIT KIDS PROGRAM. THE FIT KIDS PROGRAM IS AN ACTIVE LIFESTYLE PROGRAM CONDUCTED IN ALL 4TH GRADE CLASSES IN THE DISTRICT. THIS ENCOMPASSES STUDENTS IN 13 CLASSROOMS BETWEEN 4 SCHOOLS. THIS PROGRAM IS DESIGNED TO IMPROVE CHILDREN'S AWARENESS ABOUT THE IMPORTANCE OF EATING HEALTHY, DECREASING SEDENTARY TIME AND INCREASING PHYSICAL ACTIVITY.MCHS - NEW PRAGUE PROVIDES IN KIND SUPPORT TO THE PEACE CENTER. THE PEACE CENTER IS A FOOD DISTRIBUTION CENTER SERVING INDIVIDUALS IN NEW PRAGUE AND THE SURROUNDING AREA. FOUNDED IN 1983 AND LOCATED ON THE CAMPUS OF MCHS - NEW PRAGUE, THE PEACE CENTER SERVES THE COMMUNITY BY HELPING NEARLY 5,000 INDIVIDUALS PER YEAR WITH THEIR EVERYDAY NEEDS. MCHS - NEW PRAGUE PROVIDES PERSONNEL, ADMINISTRATIVE, FINANCE, AND OTHER SUPPORT TO THE PEACE CENTER.	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	33095260	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	0	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	1	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	0	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	0	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	0	TaxExemptBonds
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	1	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	1	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	1	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transaction Related Entity	1	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	0	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	375	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	0	UnrelatedBusinessIncome
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	11	NbrVotingGoverningBodyMembers
Number Independent Voting Members	3	NumberIndependentVotingMembers
Family Or Business Relationship	1	FamilyOrBusinessRelationship
Delegation Of Management Duties	1	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	1	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	1	LocalChapters
Policies Reference Chapters	1	PoliciesReferenceChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	0	CompensationProcessCEO
Compensation Process Other	0	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
States Where Copy Of Return Is Filed	MN	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	CORPORATE TAX UNIT	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	5075381297	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	200 FIRST STREET SW	AddressLine1
City	ROCHESTER	City
State	MN	State
ZIP Code	55905	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (22 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
BROD RENEE
DIRECTOR	1.00	0.00	X	0	0	0
DEACONSON MD TIMOTHY F
DIRECTOR/CHIEF OP/MED OFFICER	1.00	40.00	X	0	582524	39436
GRACE RICHARD W
DIRECTOR/VP/REGION CAO	1.00	40.00	X	0	323845	29395	X
HERRMANN MD MARTIN J
DIRECTOR/CHAIR	1.00	40.00	X	0	231061	35889	X
KUTCHER MD GREGORY R
DIR/PRESIDENT/REGION CEO	1.00	40.00	X	0	455629	43636	X
MILLER JOSH
DIRECTOR 9/28-12/31	1.00	0.00	X	0	0	0
MOGA MD C NIC
DIRECTOR	1.00	40.00	X	0	262977	24891
SCHOENBAUER BRAD
DIRECTOR/VICE CHAIR	1.00	0.00	X	0	0	0	X
SWELLAND MARK
DIRECTOR 1/1-1/27	1.00	0.00	X	0	0	0
TARASOVITCH JAMES J
DIR/SECY/TREAS/REGION CFO	1.00	40.00	X	0	265536	26828	X
WINN DDS GEORGE H
DIRECTOR 1/1-3/23	1.00	0.00	X	0	0	0
WOLF BRUCE
DIRECTOR 9/28-12/31	1.00	0.00	X	0	0	0
WORNSON RICHARD
DIRECTOR	1.00	0.00	X	0	0	0
KLIMP MARY J
ADMINISTRATOR	40.00	0.00		218657	0	22695	X
KOCH MARK B
ASS'T SECRETARY 7/25-12/31	1.00	40.00		0	289086	16795	X
CHINNA LEKSHMI MERCY C
RELIEF CHARGE	40.00	0.00		167308	0	19290		X
HOPKINS LAURA H
DIRECTOR OF NURSING	40.00	0.00		156107	0	9703		X
JENSEN CHRISTOPHER T
CRNA	40.00	0.00		215397	0	23369		X
OVERGAARD SHAWN M
ANESTHETIST	1.00	40.00		5740	205407	22101		X
STUPICA BRUCE
CRNA	40.00	0.00		239382	0	6674		X
CARDWELL MD BRET A
FORMER HIGHEST PAID	0.00	40.00		0	432568	32048			X
NUSBAUM MD JEAN
FORMER HIGHEST PAID	0.00	40.00		0	161125	5257			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	1002591	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	3209758	TotalReportableCompFrmRltdOrgs
Total Other Compensation	358007	TotalOtherCompensation
Number Individuals GT100 K	14	NumberIndividualsGT100K
Formers Listed	1	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
NORTH MEMORIAL MEDICAL CENTER
3300 OAKDALE NORTH	ROBBINSDALE	MN	55422	ED	1607607
MCHS - MANKATO
1025 MARSH STREET	MANKATO	MN	56002	MEDICAL & ADMIN SERVICES	1066169
MCHS - FAIRMONT
800 MEDICAL CENTER DRIVE PO BOX 80	FAIRMONT	MN	56031	PHYSICIANS	667063
SHARED MEDICAL SERVICES
PO BOX 330	COTTAGE GROVE	WI	53527	MOBILE RADIOLOGY	285553
ALLINA HOSPITAL AND CLINICS
PO BOX 9383	MINNEAPOLIS	MN	55440	CLINICAL SERVICES	256913

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	8	NumberOfContractorsGT100K
Membership Dues	70	MembershipDues
Government Grants	50980	GovernmentGrants
All Other Contributions	96044	AllOtherContributions
Total Contributions	147094	TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT REVENUE	620000	36163848	36163848
RESIDENT REVENUE	623000	153105	153105
EDUCATION REVENUE	611600	3550	3550

Field	Value	IRS element (for citing)
Total Program Service Revenue	36320503	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	13577	TotalRevenueColumn
Exclusion	$13,577	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	68167	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	0	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	68167	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	68167	TotalRevenueColumn
Exclusion	$68,167	ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	624	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	-624	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-624	TotalRevenueColumn
Exclusion	-$624	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	3340	GrossIncomeFundraisingEvents
Fundraising Direct Expenses	899	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	2441	TotalRevenueColumn
Exclusion	$2,441	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	14704	GrossSalesOfInventory
Cost Of Goods Sold	26044	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	-11340	TotalRevenueColumn
Exclusion	-$11,340	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	ExclusionExclusionAmount
FITNESS CENTER	900099	297347	297347
MISC CONSULTING SERVICES	541610	36797		$36,797
CAFETERIA SALES	722210	26854	26854

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	25594	TotalRevenueColumn
Related Or Exempt Function Income	25594	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Other Revenue	386592	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	36926410	TotalRevenueColumn
Related Or Exempt Function Income	36670298	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$109,018	ExclusionAmount

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	X	InfoInScheduleOPartIX

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	4597	Total
Program Services	4597	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	241352	Total
Management And General	241352	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	368872	Total
Program Services	154971	ProgramServices
Management And General	213901	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	14676794	Total
Program Services	13671581	ProgramServices
Management And General	1005213	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	132515	Total
Program Services	119868	ProgramServices
Management And General	12647	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	1778961	Total
Program Services	1609177	ProgramServices
Management And General	169784	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	1035111	Total
Program Services	936320	ProgramServices
Management And General	98791	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	28574	Total
Program Services	28574	ProgramServices

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	49323	Total
Management And General	49323	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	7526746	Total
Program Services	6459302	ProgramServices
Management And General	1067444	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	53017	Total
Program Services	45944	ProgramServices
Management And General	7073	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	2416939	Total
Program Services	1639594	ProgramServices
Management And General	777345	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	1037954	Total
Program Services	1029223	ProgramServices
Management And General	8731	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	139573	Total
Program Services	91151	ProgramServices
Management And General	48422	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	84979	Total
Program Services	84979	ProgramServices

Interest Interest

Field	Value	IRS element (for citing)
Total	163112	Total
Program Services	163112	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	1240074	Total
Program Services	1216355	ProgramServices
Management And General	23719	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	121874	Total
Management And General	121874	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices
MEDICAL SUPPLIES	3818524	3818524
BAD DEBT EXPENSE	1131706	1131706
MNCARE TAX	521435	521435
MEDICAID SURCHARGE	276398	276398

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	164912	Total
Program Services	92449	ProgramServices
Management And General	72463	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	37013342	Total
Program Services	33095260	ProgramServices
Management And General	3918082	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	438	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	1631287	BOY
EOY	121755	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	5927740	BOY
EOY	4628474	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	84145	BOY
EOY	0	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	482774	BOY
EOY	469373	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	72508	BOY
EOY	10680	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	14368725	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	1827516	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	13501082	BOY
EOY	12541209	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	1049439	BOY
EOY	3642808	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	846715	BOY
EOY	708759	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	23595690	BOY
EOY	22123496	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	2700351	BOY
EOY	2722238	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	3821914	BOY
EOY	2409621	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	691459	BOY
EOY	428699	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	7213724	BOY
EOY	5560558	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	15566981	BOY
EOY	15854179	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	814985	BOY
EOY	708759	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	16381966	BOY
EOY	16562938	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	23595690	BOY
EOY	22123496	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	-86932	ReconcilationRevenueExpenses
Reconcilation Prior Adjustment	374129	ReconcilationPriorAdjustment
Reconcilation Other Changes	-106225	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Consolidated	X	FinancialStatementConsolidated

Field	Value	IRS element (for citing)
Audit Committee	1	AuditCommittee
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	Volunteers
Paid Staff Or Management	0	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	0	MailingsMembers
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	0	GrantsOtherOrganizations
Direct Contact Legislators	1	DirectContactLegislators
Direct Contact Legislators	$0	DirectContactLegislatorsAmount
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	0	OtherActivities
Total Lobbying Expenditures IIB	0	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	EXPLANATION OF LOBBYING ACTIVITIES:	Identifier
Return Reference	PART II-B, LINE 1:	ReturnReference
Explanation	MAYO CLINIC HEALTH SYSTEM - MANKATO (MCHS-MANKATO) - THE PARENT OF THE FILING ORGANIZATION - PROVIDES INFORMATION OR EXPRESSES ITS CONCERN TO LEGISLATIVE BODIES AND GOVERNMENT OFFICIALS ON MATTERS DIRECTLY RELATED TO HEALTH, THE DELIVERY OF HEALTH CARE AND MEDICAL EDUCATION AND/OR RESEARCH. IN 2012, MCHS-MANKATO REPRESENTATIVES HAD SEVERAL MEETINGS WITH MEMBERS OF THE LEGISLATIVE AND EXECUTIVE BRANCHES OF GOVERNMENT TO DISCUSS ISSUES RELATING TO HEALTH CARE AND HEALTH CARE REFORM. IN ADDITION, THE FILING ORGANIZATION PAYS MEMBERSHIP DUES TO THE MINNESOTA HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION, BOTH OF WHICH ENGAGE IN LOBBYING ACTIVITIES.	Explanation

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1552472	OtherCostOrOtherBasis
Book Value	1552472	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	10446610	OtherCostOrOtherBasis
Depreciation	647671	Depreciation
Book Value	9798939	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	2278365	OtherCostOrOtherBasis
Depreciation	1179845	Depreciation
Book Value	1098520	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	91278	OtherCostOrOtherBasis
Book Value	91278	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	12541209	TotalOfBookValueLandBuildings

Other Securities OtherSecurities

Field	Value	IRS element (for citing)
Description	MAYO POOLED INVESTMENTS	Description
Book Value	3642808	BookValue
Method Of Valuation	F	MethodOfValuation

Field	Value	IRS element (for citing)
Total Of Book Value Securities	3642808	TotalOfBookValueSecurities

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
Description	DUE TO AFFILIATES	Description
Amount	$428,699	Amount

Field	Value	IRS element (for citing)
Total Of Amounts	428699	TotalOfAmounts
Footnote In Part XIII	X	FootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

Field	Value	IRS element (for citing)
Identifier	DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:	Identifier
Return Reference	PART X, LINE 2:	ReturnReference
Explanation	AT DECEMBER 31, 2012 AND 2011, THE RESERVE FOR UNRECOGNIZED TAX BENEFITS WAS NOT SIGNIFICANT, AND AS A RESULT, THERE IS NO LONGER A RESERVE FOR UNRECOGNIZED TAX BENEFITS RECORDED FOR THE FILING ORGANIZATION.	Explanation

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	1	FPGReferenceFreeCare
Pcent100	X	Pcent100
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare
Pcent400	X	Pcent400
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	0	ExpensesExceededBudget
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	149501	TotalCommunityBenefitExpense
Net Community Benefit Expense	149501	NetCommunityBenefitExpense
Percent Of Total Expense	0.00420	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	2537116	TotalCommunityBenefitExpense
Direct Offsetting Revenue	738780	DirectOffsettingRevenue
Net Community Benefit Expense	1798336	NetCommunityBenefitExpense
Percent Of Total Expense	0.05010	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	2686617	TotalCommunityBenefitExpense
Direct Offsetting Revenue	738780	DirectOffsettingRevenue
Net Community Benefit Expense	1947837	NetCommunityBenefitExpense
Percent Of Total Expense	0.05430	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	15932	TotalCommunityBenefitExpense
Net Community Benefit Expense	15932	NetCommunityBenefitExpense
Percent Of Total Expense	0.00040	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	19597	TotalCommunityBenefitExpense
Net Community Benefit Expense	19597	NetCommunityBenefitExpense
Percent Of Total Expense	0.00050	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	35529	TotalCommunityBenefitExpense
Net Community Benefit Expense	35529	NetCommunityBenefitExpense
Percent Of Total Expense	0.00090	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	2722146	TotalCommunityBenefitExpense
Direct Offsetting Revenue	738780	DirectOffsettingRevenue
Net Community Benefit Expense	1983366	NetCommunityBenefitExpense
Percent Of Total Expense	0.05520	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReported
Bad Debt Expense	$1,131,706	BadDebtExpenseAmount
Amount Reimbursed By Medicare	9945486	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	9847016	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	98470	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Other	X	Other

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	MAYO CLINIC HEALTH SYSTEM - NEW PRAGUE	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	301 2ND ST NE	AddressLine1
City	NEW PRAGUE	City
State	MN	State
ZIP Code	56071	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Critical Access Hospital	X	CriticalAccessHospital
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	MAYO CLINIC HEALTH SYSTEM - NEW PRAGUE	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
Eligibility Criteria Explained	1	EligibilityCriteriaExplained
Uses FPG Free	1	UsesFPGFree
FPG Free Percent	100.000000000000	FPGFreePercent
Uses FPG Discounted	1	UsesFPGDiscounted
FPG Discount Percent	400.000000000000	FPGDiscountPercent
Explains Basis	1	ExplainsBasis
Income Level	X	IncomeLevel
Asset Level	X	AssetLevel
Medical Indigency	X	MedicalIndigency
Insurance Status	X	InsuranceStatus
Uninsured Discount	X	UninsuredDiscount
Medicaid Medicare	X	MedicaidMedicare
Explains Application Method	1	ExplainsApplicationMethod
Includes Publicity Measures	1	IncludesPublicityMeasures
Posted On Website	X	PostedOnWebsite
Posted In Emergency Room	X	PostedInEmergencyRoom
Posted In Admission Office	X	PostedInAdmissionOffice
Available On Request	X	AvailableOnRequest
Other Publicity	X	OtherPublicity
Actions On Nonpayment	1	ActionsOnNonpayment
Collection Activities	0	CollectionActivities
Notify Upon Admission	X	NotifyUponAdmission
Notify Before Discharge	X	NotifyBeforeDischarge
Notified All Patients	X	NotifiedAllPatients
Documented Determination	X	DocumentedDetermination
Other Actions Taken	X	OtherActionsTaken
Nondiscrim Emergency Care Policy	1	NondiscrimEmergencyCarePolicy
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	0	AmountsGenerallyBilled
Gross Charges	0	GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	8	NumberOfOtherFacilities

Other Facilities OtherFacilities (8 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
MCHS-NEW PRAGUE
301 MAIN STREET E	NEW PRAGUE	MN	56071	FAMILY PRACTICE (JAN-SEP)
MCHS-WOMEN'S HEALTH CENTER
301 2ND STREET NE	NEW PRAGUE	MN	56071	WOMEN'S HEALTH CENTER
MCHS-MONTGOMERY
501 4TH STREET NW	MONTGOMERY	MN	56069	FAMILY PRACTICE
MCHS-BELLE PLAINE
700 WEST PRARIE ST	BELLE PLAINE	MN	56011	FAMILY PRACTICE
CENTER FOR REHAB AND FITNESS
504 6TH AVE NW	NEW PRAGUE	MN	56071	REHAB AND FITNESS CENTER
MCHS-EXPRESS CARE NP
200 ALTON AVE SE	NEW PRAGUE	MN	56071	EXPRESS CARE
MCHS-EXPRESS CARE BP
1010 EAST ENTERPRISE DR	BELLE PLAINE	MN	56011	EXPRESS CARE
MCHS-NEW PRAGUE
212 COUNTY ROAD 37	NEW PRAGUE	MN	56071	FAMILY PRACTICE (OCT-DEC)

Form990 Schedule H Part VI Form990ScheduleHPartVI (16 entries)

ExplanationExplanation	IdentifierIdentifier	Return ReferenceReturnReference
PART I, LINE 6A: THE ANNUAL REPORT FOR THE FILING ORGANIZATION IS PART OF A CONSOLIDATED REPORT PREPARED BY MAYO CLINIC.
PART I, LINE 7: A COST-TO-CHARGE RATIO (FROM WORKSHEET 2) IS USED TO CALCULATE THE AMOUNTS ON LINE 7A-7C (FINANCIAL ASSISTANCE, MEDICAID SHORTFALL, AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS).THE AMOUNTS FOR LINES 7E-7I WOULD COME FROM THE BOOKS AND RECORDS OF SPECIFIC SEGMENTS OF THE ORGANIZATION AND WOULD NOT BE BASED ON A COST-TO-CHARGE RATIO.
PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 1131706.
PART II: THE MISSION OF MAYO CLINIC AND ITS AFFILIATES IS TO PUT THE NEEDS OF THE PATIENT FIRST. WE BELIEVE THAT MISSION IS BEST ACCOMPLISHED WITHIN HEALTHY, WELCOMING AND THRIVING COMMUNITIES. TO DELIVER ON THAT BELIEF, MCHS-NEW PRAGUE COLLABORATES WITH PUBLIC, PRIVATE AND NONPROFIT ORGANIZATIONS TO SUSTAIN AND ENHANCE THE COMMUNITIES IT SERVES.
PART III, LINE 4: SCHEDULE H, PART III, SECTION A, LINE 1:THE FILING ORGANIZATION REPORTS BAD DEBT IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP). HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT 15 IS FOLLOWED TO THE EXTENT THAT IT ALIGNS WITH THE GUIDELINES SET FORTH BY GAAP.METHODOLOGY FOR SCHEDULE H, PART III, LINE 2:BAD DEBT EXPENSE IS DETERMINED BASED ON GAAP AND IS EXPLAINED IN THE ACCOUNTS RECEIVABLE FOOTNOTE OF THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS.FOOTNOTES RELATED TO ACCOUNTS RECEIVABLE AND ALLOWANCE FOR DOUBTFUL ACCOUNTS CAN BE FOUND ON PAGES 6, 8 AND 9 OF MAYO CLINIC'S 2012 CONSOLIDATED AUDITED FINANCIAL STATEMENTS.
PART III, LINE 8: THE METHODOLOGY DESCRIBED IN THE INSTRUCTIONS TO SCHEDULE H, PART III, SECTION B, LINE 6 DOES NOT TAKE INTO ACCOUNT ALL COSTS INCURRED BY THE HOSPITAL AND DOES NOT REPRESENT THE TOTAL COMMUNITY BENEFIT CONFERRED IN THIS AREA. THE MEDICARE SURPLUS REFLECTED ON SCHEDULE H, PART III, SECTION B WAS DETERMINED USING INFORMATION FROM THE ORGANIZATION'S MEDICARE COST REPORT (USING A MEDICARE COST REPORT STEP-DOWN METHODOLOGY). HOWEVER, USING A FINANCIAL STATEMENT COST-TO-CHARGE RATIO METHODOLOGY ACTUALLY RESULTS IN A MEDICARE SHORTFALL OF APPROXIMATELY $1,128,500 AS REPORTED IN THE CORE FORM, PART III, PROGRAM SERVICE ACCOMPLISHMENTS. REASONS WHY MEDICARE SHORTFALL REPORTED ON LINE 7, IF ANY, SHOULD BE TREATED AS COMMUNITY BENEFIT ARE: (1) ABSENT THE MEDICARE PROGRAM, IT IS LIKELY MANY OF THE INDIVIDUALS WOULD QUALIFY FOR FINANCIAL ASSISTANCE OR OTHER NEEDS-BASED GOVERNMENT PROGRAMS; (2) BY ACCEPTING PAYMENT BELOW COST TO TREAT THESE INDIVIDUALS, THE BURDENS OF GOVERNMENT ARE RELIEVED WITH RESPECT TO THESE INDIVIDUALS; (3) THERE IS A SIGNIFICANT POSSIBILITY THAT CONTINUED REDUCTION IN REIMBURSEMENT MAY ACTUALLY CREATE DIFFICULTIES IN ACCESS FOR THESE INDIVIDUALS; AND (4) THE AMOUNT SPENT TO COVER THE MEDICARE SHORTFALL IS MONEY NOT AVAILABLE TO COVER FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFIT NEEDS.
PART III, LINE 9B: MAYO CLINIC AND ITS AFFILIATES STRIVE TO ASSIST ALL PATIENTS IN MEETING THEIR FINANCIAL OBLIGATION PRIOR TO ENLISTING THE ASSISTANCE OF A COLLECTION AGENCY BY MAKING REASONABLE ATTEMPTS TO COLLECT FROM INSURANCE COMPANIES AND OTHER THIRD-PARTY PAYORS. IN ADDITION, MAYO CLINIC AND ITS AFFILIATES ACCEPT REASONABLE PAYMENT PLANS FROM PATIENTS WHEN AN ACCOUNT IS THE PATIENTS RESPONSIBILITY AND TRY TO IDENTIFY THOSE PATIENTS WHO MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE. FINANCIAL ASSISTANCE IS OFFERED TO ANY PATIENT IF THE FACTS AND CIRCUMSTANCES SUGGEST THAT THE PATIENT DOES NOT HAVE THE ABILITY TO PAY THEIR BILL IN WHOLE OR IN PART. IN THE EVENT THAT AN ACCOUNT IS REFERRED TO A COLLECTION AGENCY, GUIDELINES ARE FOLLOWED; INCLUDING SUSPENDING ALL COLLECTION ACTIVITY IF A FINANCIAL ASSISTANCE APPLICATION HAS BEEN SUBMITTED AFTER THE ACCOUNT HAS BEEN REFERRED FOR COLLECTION. IF A COLLECTION AGENCY IDENTIFIES A PATIENT AS MEETING MAYO CLINICS FINANCIAL ASSISTANCE ELIGIBILTY CRITERIA OR THE PATIENT ASKS TO APPLY FOR FINANCIAL ASSISTANCE, COLLECTION ACTIVITY IS SUSPENDED UNTIL MAYO REVIEWS THE ACCOUNT FOR FINANCIAL ASSISTANCE ELIGIBILITY BASED ON SUBMISSION OF REQUESTED INFORMATION. COLLECTION ACTIVITY WOULD ONLY RESUME IF MAYO WOULD TELL THE COLLECTION AGENCY TO PURSUE COLLECTIONS ON THE BALANCE OR PARTIAL BALANCE IF THERE WAS A CHARITY ADJUSTMENT.
PART V, SECTION B, LINE 14G: WITH REGARD TO THE POSTINGS WITHIN THE HOSPITAL FACILITY, A BROCHURE IS MADE AVAILABLE IN NUMEROUS LOCATIONS THROUGHOUT THE FACILITY WHICH DESCRIBES THE FINANCIAL ASSISTANCE POLICY, HOW TO APPLY FOR FINANCIAL ASSISTANCE, AND GIVES THE INTERNET ADDRESS WHERE THE COMPLETE POLICY CAN BE OBTAINED.	MAYO CLINIC HEALTH SYSTEM - NEW PRAGUE
PART V, SECTION B, LINE 18E: FINANCIAL ASSISTANCE INFORMATION IS AVAILABLE TO EVERY PATIENT VIA MAYO'S PUBLIC WEBSITE, FROM CUSTOMER SERVICE AND PATIENT ACCESS LOCATIONS, AND IS REFERENCED ON MAYO'S AUTHORIZATION FORMS AND STATEMENTS. IN ADDITION, BROCHURES ARE AVAILABLE IN THE ADMISSIONS AREA AND THE PROCESS OF HOW TO APPLY IS AVAILABLE ON THE MAYO CLINIC WEBSITE.UPON ADMISSION, IF THE PATIENT DOES NOT HAVE INSURANCE OR EXPRESSES AN INABILITY TO PAY, MAYO DISCUSSES ALL AVAILABLE OPTIONS INCLUDING STATE AND FEDERAL FUNDING AS WELL AS CHARITY CARE.MONTHLY STATEMENTS ARE SENT TO PATIENTS THAT OUTLINE CURRENT CHARGES AND ACTIONS WITH INSURANCE AND INCLUDES INFORMATION ABOUT MAYO'S CHARITY CARE POLICY. SOME MAYO SITES UTILIZE ADVOCATES TO CONTACT THE PATIENT UPON DISCHARGE TO HELP THEM SECURE GOVENMENTAL ASSISTANCE OR FINANCIAL ASSISTANCE.EACH CHARITY CARE REVIEW IS DOCUMENTED IN MAYO'S BILLING SYSTEM AND COMMUNICATED TO THE PATIENT. COMPLETED CHARITY CARE FORMS ARE MAINTAINED EITHER IN PAPER OR ELECTRONIC FORMAT. THE PATIENT IS INFORMED REGARDING THE OUTCOME OF THE REVIEW.MAYO OFTEN IDENTIFIES CHARITY CARE OPPORTUNITIES AFTER THE PATIENT HAS BEEN DISMISSED. IN MANY CASES, THIS IS DUE TO LIMITED INSURANCE COVERAGE OR INSURANCE DENIALS AFTER THE SERVICE WAS PERFORMED. IN THESE CASES, WHEN A PATIENT EXPRESSES AN INABILITY TO PAY FOR THEIR SERVICES, STAFF WILL INITIATE A CHARITY REVIEW AS INDICATED BY THE FINANCIAL ASSISTANCE POLICY, WHICH IS AVAILABLE FOR EVERY PATIENT AT MAYOCLINIC.ORG.	MAYO CLINIC HEALTH SYSTEM - NEW PRAGUE
PART V, SECTION B, LINE 20D: OUR POLICY ALLOWS FOR A MINIMUM DISCOUNT OF 25% TO ELIGIBLE INDIVIDUALS WHICH RESULTS IN AN AMOUNT LESS THAN THE AVERAGE OF THE THREE BEST NEGOTIATED COMMERCIAL RATES OR THE BEST NEGOTIATED COMMERCIAL RATE.	MAYO CLINIC HEALTH SYSTEM - NEW PRAGUE
PART VI, LINE 2: MAYO CLINIC HEALTH SYSTEM - NEW PRAGUE ADMINISTRATION AND ITS BOARD OF DIRECTORS ALONG WITH COMMUNITY STAKEHOLDERS, WORK CLOSELY WITH LOCAL EDUCATIONAL INSTITUTIONS, CHARITIES, AND HEALTH DEPARTMENTS TO ASSESS HEALTHCARE NEEDS. MCHS-NEW PRAGUE DEVELOPS A STRATEGIC PLAN TO MEET THE HEALTHCARE NEEDS OF THE COMMUNITY BASED ON THE INPUT RECEIVED. SERVICES, EDUCATION, VOLUNTEERS, IN KIND SUPPORT, MONETARY DONATIONS AND GOODS ARE SUPPLIED ONCE THOSE NEEDS ARE ASSESSED. REQUESTS FOR ASSISTANCE ARE TRIAGED THROUGH THE CORPORATE COMMUNICATION AND ADMINISTRATION DEPARTMENTS, AND EVALUATED BASED ON THE STRATEGIC PLAN.
PART VI, LINE 3: MEASURES TO PUBLICIZE FINANCIAL ASSISTANCE POLICY:MAYO CLINIC IS COMMITTED TO OFFERING FINANCIAL ASSISTANCE TO ELIGIBLE PATIENTS WHO DO NOT HAVE THE ABILITY TO PAY FOR THEIR MEDICAL SERVICES IN WHOLE OR IN PART. IN ORDER TO ACCOMPLISH THIS CHARITABLE GOAL, MAYO CLINIC AND MAYO CLINIC HEALTH SYSTEM SITES WIDELY PUBLICIZE THIS POLICY IN THE COMMUNITIES THAT THE INDIVIDUAL MAYO CLINIC AFFILIATED SITES SERVE. MAYO CLINIC AFFILIATED SITES MAKE COPIES OF THIS POLICY AVAILABLE BY POSTING IT ON THEIR WEBPAGE INCLUDING THE ABILITY TO DOWNLOAD A COPY OF THE POLICY FREE OF CHARGE. INDIVIDUALS IN THE COMMUNITY SERVED WILL BE ABLE TO OBTAIN A COPY OF THE POLICY IN LOCATIONS THROUGHOUT EACH MAYO CLINIC AFFILIATED SITE OR UPON REQUEST. THE POLICY EXPLAINS THE FINANCIAL ASSISTANCE PROGRAM AND FACTORS AFFECTING ELIGIBILITY. WITHIN THE HOSPITAL FACILITY, A BROCHURE IS MADE AVAILABLE IN NUMEROUS LOCATIONS THROUGHOUT THE FACILITY WHICH DESCRIBES THE FINANCIAL ASSISTANCE POLICY, HOW TO APPLY FOR FINANCIAL ASSISTANCE, AND GIVES THE INTERNET ADDRESS WHERE THE COMPLETE POLICY CAN BE OBTAINED.
PART VI, LINE 4: MAYO CLINIC HEALTH SYSTEM- NEW PRAGUE IS LOCATED IN NEW PRAGUE, MN WHICH IS IN BOTH SCOTT AND LE SUEUR COUNTIES. SCOTT COUNTY IS A MIXED RURAL/SUBURBAN COUNTY. LE SUEUR COUNTY IS MAINLY RURAL.MAYO CLINIC HEALTH SYSTEM - NEW PRAGUE SERVES A PATIENT BASE OF ABOUT 60,000 IN SCOTT, LE SUEUR, RICE, AND SIBLEY COUNTIES. THERE ARE A TOTAL OF FOUR HOSPITALS NEARBY; ONE IN EACH COUNTY. IN LE SUEUR COUNTY THE MEDIAN HOUSEHOLD INCOME IS $57,477. 8.2% OF THE POPULATION IS BELOW THE POVERTY LEVEL. 14.4% OF THE POPULATION IS 65 YEARS AND OVER. IN SCOTT COUNTY, THE MEDIAN HOUSEHOLD INCOME IS $82,190. 4.7% OF THE POPULATION IS BELOW THE POVERTY LEVEL. 8.0% OF THE POPULATION IS 65 YEARS AND OVER.
PART VI, LINE 5: THIS FILING ORGANIZATION IS AN AFFILIATE OF THE MAYO CLINIC. MAYO CLINIC AND ITS AFFILIATES ARE LARGE, MULTI-FACETED, INTEGRATED, NOT-FOR-PROFIT GROUP PRACTICES AND HEALTH SYSTEMS. AT MAYO CLINIC, DOCTORS FROM EVERY MEDICAL SPECIALTY WORK TOGETHER TO CARE FOR PATIENTS, JOINED BY COMMON SYSTEMS AND A PHILOSOPHY OF "THE NEEDS OF THE PATIENT COME FIRST." THE ORGANIZATIONS (INCLUDING HOSPITAL AND NON-HOSPITAL ENTITIES) WORK TOGETHER TO SERVE THEIR COMMUNITIES AT THE LOCAL, REGIONAL, NATIONAL, AND GLOBAL LEVELS. THIS COMMUNITY BENEFIT HAPPENS THROUGH ITS FOCUS ON PATIENT CARE, EDUCATION, AND RESEARCH. SPECIFICALLY, THE TAX-EXEMPT PURPOSE OF MAYO CLINIC AND ITS AFFILIATES IS THREE-FOLD:PRACTICE - PRACTICE MEDICINE AS AN INTEGRATED TEAM OF COMPASSIONATE, MULTI-DISCIPLINARY PHYSICIANS, SCIENTISTS AND ALLIED HEALTH PROFESSIONALS WHO ARE FOCUSED ON THE NEEDS OF PATIENTS FROM OUR COMMUNITIES, REGIONS, THE NATION AND THE WORLD.EDUCATION- EDUCATE PHYSICIANS, SCIENTISTS AND ALLIED HEALTH PROFESSIONALS AND BE A DEPENDABLE SOURCE OF HEALTH INFORMATION FOR OUR PATIENTS AND THE PUBLIC.RESEARCH - CONDUCT BASIC AND CLINICAL RESEARCH PROGRAMS TO IMPROVE PATIENT CARE AND TO BENEFIT SOCIETY, INCLUDING PARTNERING WITH MAYO CLINIC HEALTH SYSTEM PRACTICES TO PERFORM PRACTICE-BASED RESEARCH DESIGNED TO IMPROVE PATIENT CARE.THROUGH ITS MISSION, MAYO CLINIC AND ITS AFFILIATES ENRICH THE COMMUNITIES IN WHICH THEY OPERATE AS WELL AS THE BROADER COMMUNITY - IMPROVING MEDICINE THROUGH RESEARCH, EDUCATING PHYSICIANS AND OTHER HEALTH CARE PROVIDERS, AND PROVIDING CARE AND SUPPORT TO PEOPLE IN NEED. PLEASE REFER TO THE PROGRAM SERVICE ACCOMPLISHMENTS ON FORM 990, PART III, FOR FURTHER DESCRIPTION OF THE FILING ORGANIZATION'S ACTIVITIES.SURPLUS FUNDS - MAYO CLINIC AND ITS AFFILIATES REINVEST THEIR NET OPERATING INCOME TO ADVANCE MEDICAL RESEARCH AND TEACH THE NEXT GENERATION OF HEALTH CARE PROFESSIONALS, AS WELL AS TO ALLOW THE INDIVIDUAL ENTITY TO SUSTAIN ITS MISSION AND PREPARE FOR THE FUTURE. THE BOARD OF TRUSTEES IS THE GOVERNING BODY OF MAYO CLINIC. A MAJORITY OF ITS MEMBERS ARE EXTERNAL, INDEPENDENT TRUSTEES. IT HAS OVERALL RESPONSIBILITY FOR THE CHARITABLE, CLINICAL PRACTICE, SCIENTIFIC AND EDUCATIONAL MISSION AND PURPOSES OF MAYO CLINIC AND ITS AFFILIATES AS SET FORTH IN ITS ARTICLES OF INCORPORATION AND BYLAWS. BECAUSE OF MAYO CLINIC'S NATIONAL PRESENCE, THESE TRUSTEES ARE SELECTED BASED ON THEIR AREAS OF EXPERTISE, WHETHER IN HEALTH CARE POLICY, BUSINESS, GOVERNMENT OR ANOTHER FIELD. IN ADDITION TO THIS COMMUNITY REPRESENTATION AT THE PARENT ENTITY, THE FILING ORGANIZATION ALSO INVOLVES LOCAL COMMUNITY MEMBERS ON ITS GOVERNING BODY.OPEN V. CLOSED STAFF MODEL - STAFF PRIVILEGES ARE GENERALLY EXTENDED TO ALL QUALIFIED PHSYICIANS IN THE COMMUNITY.EMERGENCY ROOM - THE FILING ORGANIZATION MAINTAINS AN EMERGENCY ROOM 24 HOURS A DAY, 7 DAYS A WEEK, WHICH IS OPEN TO ALL WITHOUT REGARD TO THE ABILITY TO PAY.
PART VI, LINE 6: THIS ORGANIZATION IS A PART OF MAYO CLINIC HEALTH SYSTEM (WHICH IS PART OF A LARGER GROUP OF ENTITIES AFFILIATED WITH MAYO CLINIC). THE MAYO CLINIC HEALTH SYSTEM IS DESCRIBED IN RESPONSE TO CORE FORM, PART III, STATEMENT OF PROGRAM ACCOMPLISHMENTS, LINE 4A (REPORTED IN SCHEDULE O). THAT STATEMENT ALSO DESCRIBES THE ROLES OF THE VARIOUS AFFILIATES IN PROMOTING THE HEALTH OF THE COMMUNITIES SERVED.
NEITHER THE FILING ORGANIZATION, NOR ANY RELATED ORGANIZATION, FILES A COMMUNITY BENEFIT REPORT WITH ANY STATE OTHER THAN THE EXTENT TO WHICH COMMUNITY BENEFIT INFORMATION IS INCLUDED IN OTHER REPORTING REQUIREMENTS SUCH AS INFORMATION PROVIDED TO THE MINNESOTA HOSPITAL ASSOCIATION.		PART VI LINE 7:

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (15 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
DEACONSON MD TIMOTHY F
DIRECTOR/CHIEF OP/MED OFFICER	0	582524	0	0	0	0	0	12499	0	26937	0	621960	0	0
GRACE RICHARD W
DIRECTOR/VP/REGION CAO	0	323845	0	0	0	0	0	12500	0	16895	0	353240	0	0
HERRMANN MD MARTIN J
DIRECTOR/CHAIR	0	229116	0	0	0	1945	0	27797	0	8092	0	266950	0	0
KUTCHER MD GREGORY R
DIR/PRESIDENT/REGION CEO	0	455629	0	0	0	0	0	12500	0	31136	0	499265	0	0
MOGA MD C NIC
DIRECTOR	0	259834	0	0	0	3143	0	22091	0	2800	0	287868	0	0
TARASOVITCH JAMES J
DIR/SECY/TREAS/REGION CFO	0	265536	0	0	0	0	0	10000	0	16828	0	292364	0	0
KLIMP MARY J
ADMINISTRATOR	218657	0	0	0	0	0	2222	0	20473	0	241352	0	0	0
KOCH MARK B
ASS'T SECRETARY 7/25-12/31	0	279804	0	0	0	9282	0	322	0	16473	0	305881	0	0
CHINNA LEKSHMI MERCY C
RELIEF CHARGE	167308	0	0	0	0	0	0	0	19290	0	186598	0	0	0
HOPKINS LAURA H
DIRECTOR OF NURSING	156107	0	0	0	0	0	1549	0	8154	0	165810	0	0	0
JENSEN CHRISTOPHER T
CRNA	215397	0	0	0	0	0	170	0	23199	0	238766	0	0	0
OVERGAARD SHAWN M
ANESTHETIST	5740	201266	0	0	0	4141	0	18601	0	3500	5740	227508	0	0
STUPICA BRUCE
CRNA	239382	0	0	0	0	0	1473	0	5201	0	246056	0	0	0
CARDWELL MD BRET A
FORMER HIGHEST PAID	0	432568	0	0	0	0	0	10000	0	22048	0	464616	0	0
NUSBAUM MD JEAN
FORMER HIGHEST PAID	0	161125	0	0	0	0	0	2745	0	2512	0	166382	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
PART I, LINE 4B	THIS ENTITY OR ITS AFFILIATE HAS A SUPPLEMENTAL RETIREMENT PLAN (SRP) DESIGNED TO ROUGHLY APPROXIMATE AN EXTENSION OF THE BENEFITS UNDER THE MAYO PENSION PLAN TO INCOME ABOVE THE INTERNAL REVENUE CODE QUALIFIED PLAN LIMIT IN SECTION 401(A)(17). STARTING JANUARY 1, 2011, ALL SRP BENEFITS ARE PAID AS AN ANNUAL TAXABLE CASH PAYMENT. THE FOLLOWING INDIVIDUALS RECEIVED A PAYMENT FROM THE SUPPLEMENTAL RETIREMENT PLAN. AMOUNTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III). KOCH, MARK B. $8,013 MOGA M.D., C. NIC $2,390
PART III	COMPENSATION PAID TO BOARD MEMBERS IS PRIMARILY FOR PROFESSIONAL RESPONSIBILITIES AS PHYSICIANS, ADMINISTRATORS, OR EMPLOYEES OF THE ORGANIZATION. PART I, LINE 3: THE FILING ORGANIZATION RELIED ON A RELATED ORGANIZATION FOR ESTABLISHING THE TOP MANAGEMENT OFFICIAL'S COMPENSATION. SEE CORE 990 PART VI SECTION B LINE 15 FOR FURTHER INFORMATION REGARDING THE PROCESS UTILIZED.	SUPPLEMENTAL INFORMATION

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (6 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
MARY NYTES
FAMILY MEMBER OF DIRECTOR RENEE BROD	81166	EMPLOYMENT	0
ANNA HERRMANN
SPOUSE OF DIRECTOR MARTIN HERRMANN	139207	EMPLOYMENT	0
HEATHER TIETZ
FAMILY MEMBER OF DIRECTOR GEORGE WINN	74694	EMPLOYMENT	0
TWO 12 BUILDING LLC
DIRECTOR GEORGE WINN 60% OWNERSHIP	44001	LEASE OF CLINIC SPACE	0
PAIGE NYTES
FAMILY MEMBER OF DIRECTOR RENEE BROD	62948	EMPLOYMENT	0
SHANNON MULVIHILL
FAMILY MEMBER OF DIRECTOR JOSHUA MILLER	10857	EMPLOYMENT	0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (13 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 2	THE FOLLOWING INDIVIDUALS ARE EMPLOYED BY A RELATED ORGANIZATION: DEACONSON M.D., TIMOTHY F. GRACE, RICHARD W. KUTCHER M.D., GREGORY R. TARASOVITCH, JAMES J. RESULTING IN A BUSINESS RELATIONSHIP WITH THE FOLLOWING INDIVIDUALS WHO ARE ASSOCIATED WITH THE RELATED ORGANIZATION AS AN OFFICER, DIRECTOR, OR TRUSTEE: DEACONSON M.D., TIMOTHY F. GRACE, RICHARD W. HERRMANN M.D., MARTIN J. KOCH, MARK B. KUTCHER M.D., GREGORY R. SCHOENBAUER, BRAD TARASOVITCH, JAMES J. THE FOLLOWING INDIVIDUALS ARE EMPLOYED BY A RELATED ORGANIZATION: HERRMANN M.D., MARTIN J. MOGA M.D., C. NIC RESULTING IN A BUSINESS RELATIONSHIP WITH THE FOLLOWING INDIVIDUALS WHO ARE ASSOCIATED WITH THE RELATED ORGANIZATION AS AN OFFICER, DIRECTOR, OR TRUSTEE: GRACE, RICHARD W. KOCH, MARK B. KUTCHER M.D., GREGORY R. TARASOVITCH, JAMES J.
FORM 990, PART VI, SECTION A, LINE 3	MAYO CLINIC, MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH, AND OTHER RELATED COMPANIES PROVIDE MANAGEMENT SERVICES TO THE ENTIRE SYSTEM OF ENTITIES. MAYO CLINIC HEALTH SYSTEM - MANKATO ALSO PROVIDES MANAGEMENT SERVICES ON A REGIONAL BASIS THAT INCLUDES THE FILING ORGANIZATION. SINCE THE ENTITIES ARE RELATED ORGANIZATIONS, COMPENSATION FOR THE OFFICERS, DIRECTORS, KEY EMPLOYEES, AND HIGHEST COMPENSATED EMPLOYEES HAS BEEN DISCLOSED IN PART VII AND SCHEDULE J AS REQUIRED.
FORM 990, PART VI, SECTION A, LINE 6	THE SOLE CORPORATE MEMBER IS MAYO CLINIC HEALTH SYSTEM-MANKATO
FORM 990, PART VI, SECTION A, LINE 7A	THE SOLE CORPORATE MEMBER APPOINTS THE FOUR MEMBER DIRECTORS AND DESIGNATES MEMBERS OF THE NOMINATING COMMITTEE FOR THE SEVEN COMMUNITY MEMBERS. ULTIMATE ELECTION IS BY THE BOARD OF DIRECTORS OF THE CORPORATION.
FORM 990, PART VI, SECTION A, LINE 7B	CERTAIN TRANSACTIONS REQUIRE APPROVAL BY THE MEMBER BEFORE ACTION CAN BE TAKEN SUCH AS AMENDMENT TO THE ARTICLES AND BYLAWS, MERGER OR OTHER RESTRUCTURING, AND INCURRENCE OF DEBT.
FORM 990, PART VI, SECTION B, LINE 11	THE FORM 990 IS PREPARED BY MAYO CORPORATE TAX WITH ASSISTANCE FROM SITE ACCOUNTING STAFF. THE TAX RETURN GOES THROUGH TWO LEVELS OF REVIEW WITHIN THE CORPORATE TAX UNIT. IT IS THEN REVIEWED BY THE VICE PRESIDENT OF FINANCE, THE CFO AND THE ADMINISTRATOR. A COPY OF THE FORM 990 IS THEN PROVIDED TO EACH MEMBER OF THE GOVERNING BODY VIA US MAIL, E-MAIL, OR DISTRIBUTION AT A BOARD MEETING. ALL QUESTIONS ARE ADDRESSED PRIOR TO FILING THE FORM 990.
FORM 990, PART VI, SECTION B, LINE 12C	MAYO CLINIC AND ITS AFFILIATES HAVE A COMPREHENSIVE CONFLICT OF INTEREST POLICY APPLICABLE TO ALL OF THE AFFILIATED ENTITIES AND TO ALL DIRECTORS, OFFICERS, AND EMPLOYEES OF THOSE ENTITIES. ALL CURRENT AND FORMER OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES AND HIGHEST COMPENSATED EMPLOYEES WHO WE ANTICIPATE WILL BE LISTED ON A FORM 990 ARE ASKED TO COMPLETE AN "ANNUAL TAX AND COMPLIANCE DISCLOSURE" FORM. THIS INFORMATION IS REVIEWED BY BOTH THE CORPORATE TAX DEPARTMENT AND THE OFFICE OF CONFLICT OF INTEREST REVIEW. ALL DISCLOSURES OF CURRENT OR PROPOSED ACTIVITY THAT REQUIRE ACTION UNDER THE POLICY ARE THE SUBJECT OF ONGOING REVIEW AND ACTION THROUGH THE OFFICE OF CONFLICT OF INTEREST REVIEW AND THE CONFLICT OF INTEREST REVIEW BOARD. INVOLVED INDIVIDUALS ARE INFORMED OF ALL REQUIRED ACTION. MANY TYPES OF RELATIONSHIPS THAT COULD CREATE CONFLICTS OF INTEREST ARE PROHIBITED. OTHER TYPES OF RELATIONSHIPS ARE PERMITTED SUBJECT TO COMPLIANCE WITH THE MANAGEMENT PLAN ESTABLISHED BY THE CONFLICT OF INTEREST REVIEW BOARD. A COMMON MANAGEMENT STRATEGY FOR PERMITTED ACTIVITIES IS TO REQUIRE BILATERAL RECUSAL AND APPROPRIATE DOCUMENTATION IN THE MINUTES OF MAYO CLINIC (AND/OR AFFILIATE) AND THE OUTSIDE ENTITY. ADDITIONAL CONFLICT OF INTEREST POLICIES AND PROCEDURES EXIST FOR CERTAIN ENTITIES CONCERNING RESEARCH CONTRACTS AND OTHER TYPES OF POTENTIAL CONFLICTS.
	THE FILING ORGANIZATION IS AN AFFILIATE OF MAYO CLINIC. MAYO CLINIC AND ITS AFFILIATES HAVE A COORDINATED PROCESS FOR REVIEWING AND APPROVING COMPENSATION AND BENEFITS FOR PHYSICIANS AND ADMINISTRATIVE LEADERSHIP. IN ADDITION TO ANY REVIEW AND APPROVAL THAT MAY TAKE PLACE AT THE LOCAL ENTITY LEVEL, THE FOLLOWING INDEPENDENT APPROVAL PROCESS OCCURS ANNUALLY IN THE FALL FOR THE NEXT YEARS COMPENSATION. THE SALARIES OF THE CEO, CAO, AND SEVERAL BOARD MEMBERS WERE REVIEWED BY THE MAYO CLINIC HEALTH SYSTEM COMPENSATION AND BENEFITS COMMITTEE PURSUANT TO THE PROCESS DESCRIBED BELOW FOR MAYO CLINIC HEALTH SYSTEM - PHYSICIAN AND ADMINISTRATIVE LEADERSHIP. THE MAYO CLINIC HEALTH SYSTEM COMPENSATION AND BENEFITS COMMITTEE INITIALLY REVIEWS THE COMPENSATION OF PHYSICIANS AND ADMINISTRATIVE LEADERSHIP FOR THE MAYO CLINIC HEALTH SYSTEM ENTITIES. THE COMMITTEE IS COMPRISED OF MAYO EMPLOYEES, BUT IS INDEPENDENT FOR INTERNAL REVENUE CODE 4958 FOR THE INDIVIDUALS WHOSE SALARY IS REVIEWED (WITH RECUSAL WHERE APPROPRIATE). THE MAYO CLINIC SALARY AND BENEFITS COMMITTEE THEN REVIEWS AND APPROVES THE COMPENSATION. FOR THOSE INDIVIDUALS FOR WHICH THE MAYO CLINIC HEALTH SYSTEM COMMITTEE CAN NOT SERVE AS THE INDEPENDENT REVIEW, THEIR COMPENSATION AND BENEFITS ARE REVIEWED BY THE GOVERNANCE COMMITTEE (DESCRIBED BELOW). THE COMPENSATION AND BENEFITS COMMITTEE USES COMPARABILITY DATA (INCLUDING THIRD-PARTY BENCHMARKING SURVEYS) IN ITS REVIEW AND DOCUMENTS DECISIONS IN ITS MINUTES. INFORMATION ON MAYO CLINIC HEALTH SYSTEM PHYSICIAN AND ADMINISTRATIVE LEADERSHIP COMPENSATION AND BENEFITS IS ALSO REVIEWED BY THE MAYO CLINIC COMMITTEE ON OFFICER SUCCESSION, COMPENSATION AND GOVERNANCE (GOVERNANCE COMMITTEE), WHICH IS COMPRISED OF SEVEN OF THE EXTERNAL INDEPENDENT MEMBERS OF THE MAYO CLINIC BOARD OF TRUSTEES. IN ADDITION TO THE ABOVE REVIEWS, THE COMPENSATION COMMITTEE OF THE SOUTHWEST MINNESOTA REGION IS CHARGED WITH THE RESPONSIBILITY TO RECOMMEND TO THE SOUTHWEST MINNESOTA REGION BOARD OF DIRECTORS ON AN ANNUAL BASIS THE APPROPRIATE COMPENSATION FOR THE CHIEF EXECUTIVE OFFICER AND CHIEF ADMINISTRATIVE OFFICER AND TOTAL COMPENSATION STRATEGY FOR THE ORGANIZATION. THE COMPENSATION COMMITTEE IS CREATED BY A BOARD RESOLUTION.
FORM 990, PART VI, SECTION C, LINE 19	THE FILING ORGANIZATION'S GOVERNING DOCUMENTS ARE NOT AVAILABLE TO THE PUBLIC. THE CONFLICT OF INTEREST POLICY IS AVAILABLE UPON REQUEST AND ALSO ON THE MAYOCLINIC.ORG WEBSITE. THE FILING ORGANIZATION IS A HOSPITAL AFFILIATED WITH MAYO CLINIC. AS SUCH, MAYO CLINIC'S CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE ATTACHED TO THE FILING ORGANIZATION'S FORM 990 AND WOULD BE AVAILABLE UPON REQUEST OF THE FORM 990.
FORM 990, PART IX, LINE 11G	IC PURCHASED SERVICES : PROGRAM SERVICE EXPENSES 1,096,986. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,096,986. OTHER PURCHASED SERVICES : PROGRAM SERVICE EXPENSES 5,362,316. MANAGEMENT AND GENERAL EXPENSES 1,067,444. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,429,760.	OTHER FEES
FORM 990, PART XI, LINE 9:	NET CHANGE IN ASSETS OF FOUNDATION -106,225.	CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XI, LINE 8	PENSION ADJUSTMENT AS A RESULT OF POLICY CHANGE	PRIOR PERIOD ADJUSTMENT EXPLANATION
SCHEDULE F, PART IV, LINES 3, 5, & 6	DISCLOSURE STATEMENT RELATED TO FORMS 5713: FORM 5713 HAS BEEN FILED BY THE FOLLOWING MEMBERS OF THE CONTROLLED GROUP: MAYO CLINIC (EIN: 41-6011702) MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH (EIN: 41-1506440) MAYO HOLDING COMPANY (EIN: 41-1578020) MAYO CLINIC ARIZONA (EIN: 86-0800150) MAYO CLINIC JACKSONVILLE (EIN: 59-3337028) DISCLOSURE STATEMENT RELATED TO FORMS 5471: UNDER THE CONSTRUCTIVE OWNERSHIP RULES OF IRC SECTIONS 958(A) AND (B), THE TAXPAYER IS REQUIRED TO FILE FORMS 5471, INFORMATION RETURN OF U.S. PERSONS WITH RESPECT TO CERTAIN FOREIGN CORPORATIONS, AS A CATEGORY 4 AND 5 FILER WITH RESPECT TO CERTAIN CONTROLLED FOREIGN CORPORATIONS (CFCS). THESE FILING REQUIREMENTS ARE OR WILL BE SATISFIED THROUGH THE FILING OF FORMS 5471 FOR THESE CFCS BY OTHER U.S. TAXPAYERS IDENTIFIED BELOW WHO HAVE THE SAME FILING REQUIREMENT. TAXPAYER NAME: MAYO CLINIC ADDRESS: 200 FIRST STREET SW, ROCHESTER, MN 55905 ID NUMBER OF U.S. TAX RETURN WITH WHICH FORM 5471 WAS FILED: 41-6011702 IRS SERVICE CENTER WHERE U.S. TAX RETURN WAS OR WILL BE FILED: E-FILED TAXPAYER NAME: MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH ADDRESS: 200 FIRST STREET SW, ROCHESTER, MN 55905 ID NUMBER OF U.S. TAX RETURN WITH WHICH FORM 5471 WAS FILED: 41-1506440 IRS SERVICE CENTER WHERE U.S. TAX RETURN WAS OR WILL BE FILED: E-FILED DISCLOSURE STATEMENT RELATED TO FORMS 8865: UNDER THE CONSTRUCTIVE OWNERSHIP RULES OF IRC SECTIONS 958(A) AND (B), THE TAXPAYER IS REQUIRED TO FILE FORMS 8865, INFORMATION RETURN OF U.S. PERSONS WITH RESPECT TO CERTAIN FOREIGN PARTNERSHIPS, AS A CATEGORY 2 AND 3 FILER. THESE FILING REQUIREMENTS ARE OR WILL BE SATISFIED THROUGH THE FILING OF FORMS 8865 FOR THESE PARTNERSHIPS BY OTHER U.S. TAXPAYERS IDENTIFIED BELOW WHO HAVE THE SAME FILING REQUIREMENT. TAXPAYER NAME: MAYO CLINIC ADDRESS: 200 FIRST STREET SW, ROCHESTER, MN 55905 ID NUMBER OF U.S. TAX RETURN WITH WHICH FORM 8865 WAS FILED: 41-6011702 IRS SERVICE CENTER WHERE U.S. TAX RETURN WAS OR WILL BE FILED: E-FILED	IN REGARDS TO FILING CERTAIN FOREIGN FORMS

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

Field	Value	IRS element (for citing)
Business Name Line1	QUEEN OF PEACE PROPERTIES LLC	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	301 SECOND STREET NORTHEAST	AddressLine1
City	NEW PRAGUE	City
State	MN	State
ZIP Code	56071	ZIPCode

Field	Value	IRS element (for citing)
EIN	263202636	EIN
Primary Activities	ACQUIRE AND DEVELOP REAL PROPERTY	PrimaryActivities
Legal Domicile State	MN	LegalDomicileState
Total Income	0	TotalIncome
EOY Assets	870000	EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	MAYO CLINIC HEALTH SYSTEM - NEW PRAGUE	BusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (48 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg	Direct Controlling Entity NADirectControllingEntityNA	Address Line1AddressForeign/AddressLine1	CityAddressForeign/City	CountryAddressForeign/Country	Legal Domicile Foreign CountryLegalDomicileForeignCountry
BLOOMER LAKEVIEW INC
2110 DUNCAN ROAD	BLOOMER	WI	54724	391450617	LOW INCOME HOUSING	WI	501(C)(3)	7	MCHS--CHIPPEWA VALLEY INC	1
CHARTERHOUSE INC
200 FIRST STREET SW	ROCHESTER	MN	55905	411405254	RETIREMENT LIVING CENTER	MN	501(C)(3)	9	MAYO CLINIC	1
FRANCISCAN SKEMP FOUNDATION OF ARCADIA INC
464 SOUTH ST JOSEPH AVENUE	ARCADIA	WI	54612	391322480	FUNDRAISING FOUNDATION	WI	501(C)(3)	9	MCHS--FRANCISCAN HEALTHCARE INC	1
GOLD CROSS AMBULANCE SERVICE
200 FIRST STREET SW	ROCHESTER	MN	55905	411917516	AMBULANCE SERVICE	MN	501(C)(3)	9	MFMER	1
LUTHER LAKESIDE APARTMENTS INC
PO BOX 1510	EAU CLAIRE	WI	54702	391409024	LOW INCOME HOUSING FOR ELDERLY	WI	501(C)(3)	9	MCHS--EAU CLAIRE HOSPITAL INC	1
MAYO CLINIC
200 FIRST STREET SW	ROCHESTER	MN	55905	416011702	PATIENT CARE - CLINIC	MN	501(C)(3)	9		1	N/A
MAYO CLINIC -- METHODIST HOSPITAL
200 FIRST STREET SW	ROCHESTER	MN	55905	410739106	HOSPITAL	MN	501(C)(3)	3	MAYO CLINIC	1
MAYO CLINIC -- SAINT MARYS HOSPITAL
200 FIRST STREET SW	ROCHESTER	MN	55905	410944601	HOSPITAL	MN	501(C)(3)	3	MAYO CLINIC	1
MAYO CLINIC ARIZONA
13400 EAST SHEA BOULEVARD	SCOTTSDALE	AZ	85259	860800150	HOSPITAL AND CLINIC	AZ	501(C)(3)	3	MAYO CLINIC	1
MAYO CLINIC FLORIDA (A NONPROFIT CORPORATION)
4500 SAN PABLO ROAD	JACKSONVILLE	FL	32224	590714831	HOSPITAL	FL	501(C)(3)	3	MAYO CLINIC JACKSONVILLE	1
MAYO CLINIC HEALTH SYSTEM IN WAYCROSS INC
1900 TEBEAU STREET	WAYCROSS	GA	31501	581667166	HOSPITAL	GA	501(C)(3)	3	MAYO CLINIC JACKSONVILLE	1
MAYO CLINIC HEALTH SYSTEM--ALBERT LEA
1000 FIRST DRIVE NW	AUSTIN	MN	55912	411404075	HOSPITAL AND CLINIC	MN	501(C)(3)	3	MAYO CLINIC	1
MAYO CLINIC HEALTH SYSTEM--AUSTIN
1000 FIRST DRIVE NW	AUSTIN	MN	55912	410695606	HOSPITAL AND CLINIC	MN	501(C)(3)	3	MAYO CLINIC	1
MAYO CLINIC HEALTH SYSTEM--AUSTIN FOUNDATION
1000 FIRST DRIVE NW	AUSTIN	MN	55912	300107471	FUNDRAISING FOUNDATION	MN	501(C)(3)	7	MCHS--AUSTIN	1
MAYO CLINIC HEALTH SYSTEM--CANNON FALLS
1116 WEST MILL STREET	CANNON FALLS	MN	55009	204156428	HOSPITAL AND CLINIC	MN	501(C)(3)	3	MAYO CLINIC	1
MAYO CLINIC HEALTH SYSTEM--CHIPPEWA VALLEY INC
1501 THOMPSON STREET	BLOOMER	WI	54724	390980343	HOSPITAL AND CLINIC	WI	501(C)(3)	3	MCHS--EAU CLAIRE HOSPITAL INC	1
MAYO CLINIC HEALTH SYSTEM--EAU CLAIRE CLINIC INC
733 W CLAIREMONT AVE PO BOX 1510	EAU CLAIRE	WI	54702	391735831	PATIENT CARE - CLINIC	WI	501(C)(3)	3	MAYO CLINIC	0
MAYO CLINIC HEALTH SYSTEM--EAU CLAIRE FOUNDATION INC
733 W CLAIREMONT AVE PO BOX 1510	EAU CLAIRE	WI	54702	391633407	GRANTMAKING FOUNDATION	WI	501(C)(3)	11-I	MCHS--EAU CLAIRE CLINIC INC	0
MAYO CLINIC HEALTH SYSTEM--EAU CLAIRE HOSPITAL INC
1221 WHIPPLE STREET	EAU CLAIRE	WI	54703	390813418	HOSPITAL	WI	501(C)(3)	3	MAYO CLINIC	1
MAYO CLINIC HEALTH SYSTEM--FAIRMONT
800 MEDICAL CENTER DRIVE PO BOX 800	FAIRMONT	MN	56031	410760836	HOSPITAL AND CLINIC	MN	501(C)(3)	3	MCHS--MANKATO	1
MAYO CLINIC HEALTH SYSTEM--FRANCISCAN HEALTHCARE FOUNDATION INC
700 WEST AVE SOUTH	LA CROSSE	WI	54601	391186647	FUNDRAISING FOUNDATION	WI	501(C)(3)	7	MCHS--FRANCISCAN HEALTHCARE INC	1
MAYO CLINIC HEALTH SYSTEM--FRANCISCAN HEALTHCARE FOUNDATION-SPARTA INC
310 WEST MAIN STREET	SPARTA	WI	54656	391423234	FUNDRAISING FOUNDATION	WI	501(C)(3)	9	MCHS--FRANCISCAN HEALTHCARE INC	1
MAYO CLINIC HEALTH SYSTEM--FRANCISCAN HEALTHCARE INC
700 WEST AVE SOUTH	LA CROSSE	WI	54601	391411999	HEALTHCARE SYSTEM PARENT	WI	501(C)(3)	11-I	MAYO CLINIC	1
MAYO CLINIC HEALTH SYSTEM--FRANCISCAN MEDICAL CENTER INC
700 WEST AVE SOUTH	LA CROSSE	WI	54601	390806374	HOSPITAL AND CLINIC	WI	501(C)(3)	3	MCHS--FRANCISCAN HEALTHCARE INC	1
MAYO CLINIC HEALTH SYSTEM--HOME HEALTH & HOSPICE INC
PO BOX 2060	EAU CLAIRE	WI	54702	391491516	HOME HEALTH AND HOSPICE CARE	WI	501(C)(3)	9	MCHS--EAU CLAIRE HOSPITAL INC	1
MAYO CLINIC HEALTH SYSTEM--LAKE CITY
500 WEST GRANT STREET	LAKE CITY	MN	55041	411906820	HOSPITAL	MN	501(C)(3)	3	MAYO CLINIC	1
MAYO CLINIC HEALTH SYSTEM--MANKATO
1025 MARSH STREET	MANKATO	MN	56002	411236756	HOSPITAL AND CLINIC	MN	501(C)(3)	3	MAYO CLINIC	1
MAYO CLINIC HEALTH SYSTEM--MANKATO HEALTH CARE FOUNDATION
1025 MARSH STREET	MANKATO	MN	56002	411663357	FUNDRAISING FOUNDATION	MN	501(C)(3)	7	MCHS--MANKATO	1
MAYO CLINIC HEALTH SYSTEM--NEW PRAGUE
301 SECOND STREET NE	NEW PRAGUE	MN	56071	410723639	HOSPITAL AND CLINIC	MN	501(C)(3)	3	MCHS--MANKATO	1
MAYO CLINIC HEALTH SYSTEM--NORTHLAND INC
1222 EAST WOODLAND AVENUE	BARRON	WI	54812	390920634	HOSPITAL AND CLINIC	WI	501(C)(3)	3	MCHS--EAU CLAIRE HOSPITAL INC	1
MAYO CLINIC HEALTH SYSTEM--OAKRIDGE INC
13025 EIGHTH STREET PO BOX 70	OSSEO	WI	54758	391029430	HOSPITAL AND CLINIC	WI	501(C)(3)	3	MCHS--EAU CLAIRE HOSPITAL INC	1
MAYO CLINIC HEALTH SYSTEM--OWATONNA
134 SOUTHVIEW ST	OWATONNA	MN	55060	411862132	PATIENT CARE - CLINIC	MN	501(C)(3)	3	MAYO CLINIC	1
MAYO CLINIC HEALTH SYSTEM--RED CEDAR INC
2321 STOUT ROAD	MENOMONIE	WI	54751	510190875	HOSPITAL AND CLINIC	WI	501(C)(3)	3	MAYO CLINIC	1
MAYO CLINIC HEALTH SYSTEM--RED WING
701 HEWITT BOULEVARD	RED WING	MN	55066	411713783	PATIENT CARE SERVICES	MN	501(C)(3)	3	MAYO CLINIC	1
MAYO CLINIC HEALTH SYSTEM--RED WING HOME HEALTH & HOSPICE
701 HEWITT BOULEVARD	RED WING	MN	55066	411539756	HOME HEALTHCARE SERVICES	MN	501(C)(3)	7	MCHS--RED WING	1
MAYO CLINIC HEALTH SYSTEM--SPRINGFIELD
625 NORTH JACKSON AVENUE	SPRINGFIELD	MN	56087	411893827	HOSPITAL AND CLINIC	MN	501(C)(3)	3	MCHS--MANKATO	1
MAYO CLINIC HEALTH SYSTEM--ST JAMES
1101 MOULTON PARSONS DR PO BOX 460	ST JAMES	MN	56081	410797368	HOSPITAL AND CLINIC	MN	501(C)(3)	3	MCHS--MANKATO	1
MAYO CLINIC HEALTH SYSTEM--ST JAMES HEALTH CARE FOUNDATION
1101 MOULTON PARSONS DR PO BOX 460	ST JAMES	MN	56081	411444129	FUNDRAISING FOUNDATION	MN	501(C)(3)	7	MCHS--ST JAMES	1
MAYO CLINIC HEALTH SYSTEM--SUPPORTIVE HOMECARE INC
PO BOX 2060	EAU CLAIRE	WI	54702	391686673	HOME HEALTH CARE	WI	501(C)(3)	9	MCHS--EAU CLAIRE HOSPITAL INC	1
MAYO CLINIC HEALTH SYSTEM--WASECA
501 NORTH STATE STREET	WASECA	MN	56093	363606405	HOSPITAL AND CLINIC	MN	501(C)(3)	3	MCHS--MANKATO	1
MAYO CLINIC JACKSONVILLE
4500 SAN PABLO ROAD	JACKSONVILLE	FL	32224	593337028	PATIENT CARE - CLINIC	FL	501(C)(3)	7	MAYO CLINIC	1
MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH
200 FIRST STREET SW	ROCHESTER	MN	55905	411506440	CHARITABLE, EDUCATIONAL & SCIENTIFIC ACTIVITIES	MN	501(C)(3)	9	MAYO CLINIC	1
MAYO KLINIK STIFTUNG
					FUNDRAISING FOUNDATION				MFMER	1		60486 FRANKFURT AM MAIN	FRANKFURT	GM	GM
MILES AND SHIRLEY FITERMAN ENDOWMENT FUND FOR DIGESTIVE DISEASES
200 FIRST STREET SW	ROCHESTER	MN	55905	412020392	SUPPORT RESEARCH, PRACTICE & EDUCATION	MN	501(C)(3)	11-I	MAYO CLINIC	1
POVERELLO FOUNDATION
200 FIRST STREET SW	ROCHESTER	MN	55905	411494881	FUNDRAISING FOUNDATION	MN	501(C)(3)	7	MAYO CLINIC -- SAINT MARYS HOSPITAL	1
RED WING SEMINARY HOME
701 HEWITT BOULEVARD	RED WING	MN	55066	411263419	RESIDENT CARE AND HOUSING	MN	501(C)(3)	9	MCHS--RED WING	1
SATILLA HEALTH MANAGEMENT INC
1900 TEBEAU STREET	WAYCROSS	GA	31501	581717889	HEALTHCARE SERVICES	GA	501(C)(3)	3	MCHS IN WAYCROSS INC	1
THE DOWNTOWN PLAZA
701 HEWITT BOULEVARD	RED WING	MN	55066	411532554	ELDERLY HOUSING	MN	501(C)(3)	9	MCHS--RED WING	1

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA
FRANKLIN HEATING STATION
119 THIRD ST SW	ROCHESTER	MN	55902	410264830	UTILITY	MN	N/A
PHYSICIAN SOFTWARE SYSTEMS LLC
3333 WARRENVILLE ROAD SUITE 200	LISLE	IL	60532	453414836	HEALTHCARE RELATED SOFTWARE	IL	N/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (36 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA	Type Of EntityTypeOfEntity	Controlled OrgControlledOrg	Address Line1AddressForeign/AddressLine1	CityAddressForeign/City	CountryAddressForeign/Country	Legal Domicile Foreign CountryLegalDomicileForeignCountry	Postal CodeAddressForeign/PostalCode
HEALTH TRADITION HEALTH PLAN
1808 EAST MAIN STREET	ONALASKA	WI	54650	391545987	MEDICAL SERVICES COMPANY	WI	N/A	C	1
LOBSS NETWORK SUPPORT 2002 INC
200 FIRST STREET SW	ROCHESTER	MN	55905	481276150	ADMINISTRATIVE SERVICES	MN	N/A	C	1
MAYO CLINIC GBS MAURITIUS
					HEALTHCARE MANAGEMENT		N/A	C	1	2ND FLOOR EBENE MEWS 57	EBENE CYBERCITY	MP	MP
MAYO CLINIC HEALTH SYSTEM--DECORAH CLINIC PHYSICIANS
907 MONTGOMERY STREET	DECORAH	IA	52101	411711329	PATIENT CARE - CLINIC	IA	N/A	C	1
MAYO CLINIC HEALTH SYSTEM--FARIBAULT
635 FIRST STREET SE	FARIBAULT	MN	55021	411817179	PATIENT CARE - CLINIC	MN	N/A	C	1
MAYO CLINIC HEALTH SYSTEM--PHARMACY & HOME MEDICAL INC
1221 WHIPPLE STREET	EAU CLAIRE	WI	54703	391528920	PHARMACY SERVICES	WI	N/A	C	1
MAYO COLLABORATIVE SERVICES INC
200 FIRST STREET SW	ROCHESTER	MN	55905	411346366	REFERENCE LAB SERVICES	MN	N/A	C	1
MAYO HOLDING COMPANY
200 FIRST STREET SW	ROCHESTER	MN	55905	411578020	HOLDING COMPANY	MN	N/A	C	1
MAYO INSURANCE COMPANY LTD
200 FIRST STREET SW	ROCHESTER	MN	55905		SELF INSURANCE POOL		N/A	C	1				CJ
MAYO MEDICAL LABORATORIES NEW ENGLAND INC
265 BALLARDVALE STREET	WILMINGTON	MA	01887	043323713	LABORATORY SERVICES	MA	N/A	C	1
MAYO REGIONAL PRACTICES OF ARIZONA
13400 EAST SHEA BOULEVARD	SCOTTSDALE	AZ	85259	061190278	THIRD PARTY ADMINISTRATION SERVICES	AZ	N/A	C	1
MMSI INC
21 FIRST STREET SW	ROCHESTER	MN	55905	411547003	THIRD PARTY ADMINISTRATION SERVICES	MN	N/A	C	1
RESOUNDANT INC
221 1ST AVE SW	ROCHESTER	MN	55902	461661978	MANUFACTURING MEDICAL DEVICE COMPONENT	MN	N/A	C	1
ROCHESTER AIRPORT COMPANY
ROUTE 2	ROCHESTER	MN	55902	410506870	AIRPORT MANAGEMENT	MN	N/A	C	1
SATILLA HEALTH ENTERPRISES INC
1900 TEBEAU STREET	WAYCROSS	GA	31501	581717222	HEALTHCARE	GA	N/A	C	1
SATILLA HEALTHNET INC
1900 TEBEAU STREET	WAYCROSS	GA	31501	582151076	HEALTH SERVICES	GA	N/A	C	1
SATILLA REGIONAL SPECIALTY PHYSICIANS INC
1900 TEBEAU STREET	WAYCROSS	GA	31501	204363143	PHYSICIAN OFFICES	GA	N/A	C	1
SIT ALPHA II BOND FUND LTD
				980648163	INVESTMENT MANAGEMENT		N/A	C	1	CLIFTON HOUSE 75 FORTH ST	GRAND CAYMAN	CJ	CJ	KY1-1108
SUPERBLOCK 3 PROPERTY OWNERS ASSOCIATION
13400 E SHEA BLVD	SCOTTSDALE	AZ	85259	860870505	COMMERCIAL PROPERTY OWNERS ASSOCIATION	AZ	N/A	C	1
THE STABILE BUILDING OWNERS' ASSOCIATION
200 FIRST STREET SW	ROCHESTER	MN	55905	208994499	COMMERCIAL PROPERTY OWNERS ASSOCIATION	MN	N/A	C	1
CHARITABLE LEAD TRUST
					CHARITABLE TRUST	CA	N/A	T	1
PERPETUAL TRUST
					CHARITABLE TRUST	ND	N/A	T	1
PERPETUAL TRUST
					CHARITABLE TRUST	LA	N/A	T	1
PERPETUAL TRUST (2)
					CHARITABLE TRUST	MA	N/A	T	1
PERPETUAL TRUST
					CHARITABLE TRUST	MO	N/A	T	1
PERPETUAL TRUST
					CHARITABLE TRUST	AZ	N/A	T	1
CHARITABLE REMAINDER TRUST
					CHARITABLE TRUST	CO	N/A	T	1
CHARITABLE REMAINDER TRUST (6)
					CHARITABLE TRUST	FL	N/A	T	1
CHARITABLE REMAINDER TRUST
					CHARITABLE TRUST	FL	N/A	T	1
CHARITABLE REMAINDER TRUST
					CHARITABLE TRUST	IL	N/A	T	1
CHARITABLE REMAINDER TRUST
					CHARITABLE TRUST	LA	N/A	T	1
CHARITABLE REMAINDER TRUST
					CHARITABLE TRUST	MI	N/A	T	1
CHARITABLE REMAINDER TRUST (68)
					CHARITABLE TRUST	MN	N/A	T	1
CHARITABLE REMAINDER TRUST (77)
					CHARITABLE TRUST	MN	N/A	T	1
CHARITABLE REMAINDER TRUST
					CHARITABLE TRUST	NC	N/A	T	1
CHARITABLE REMAINDER TRUST (2)
					CHARITABLE TRUST	TX	N/A	T	1

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	0	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	1	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	0	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	0	DividendsRelatedOrganization
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	0	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	0	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	0	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	1	PerformOfServicesByOtherOrgs
Sharing Of Facilities	0	SharingOfFacilities
Sharing Of Paid Employees	1	SharingOfPaidEmployees
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	0	OtherTransferToOtherOrg
Other Transfer From Other Org	1	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
MAYO CLINIC HEALTH SYSTEM--FAIRMONT
O	667063	GAAP
MAYO COLLABORATIVE SERVICES INC
M	58558	GAAP
MMSI INC
S	127748	GAAP